Feasibility and effectiveness of an online mindfulness meditation program for medical students
Open accessAbstract
Background: The need to incorporate tools to promote medical student wellness in medical education is underscored by the concerning rates of psychological distress among them. The objective of this prospective cohort study was to obtain preliminary data on the feasibility and effectiveness of an online mindfulness intervention for medical student wellness.Methods: A convenience sample of 52 medical students consented to participate in this study. Feasibility was assessed by ease of recruitment, number of modules completed, satisfaction with the program, and adherence to a regular meditation practice. Participants completed the Maslach Burnout Inventory, the Jefferson Scale of Empathy-medical student version, the Five Face of Mindfulness Questionnaire-short form, and the Self Compassion Scale-short form pre and post intervention.Results: The convenience sample was recruited within a two-month period. Forty-five participants completed at least one of seven modules. Descriptive statistics (mean±standard deviation) revealed that the mean number of modules completed was 4.85±2.7. Mean satisfaction with the modules was 7.07±1.1 out of 10. Adherence to a regular formal meditation practice was poor; the average amount of formal meditation practice per module was 34.14±27.44 minutes. Self-compassion and the “observe and describe” facets of mindfulness practice significantly statistically increased from baseline, but no such change was observed for levels of burnout and empathy.Conclusion: The present study indicates that an online mindfulness meditation program may be of interest to medical students. The results did not provide any evidence that the program was effective but we believe further research and development is warranted.
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Overall positive impact on the describe and observe facets of the FFMQ, and on empathy, was noted in one study.
“Overall positive impact of the describe and observe facets of the FFMQ, and on empathy, was noted in one study [23].”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The Results (Preliminary efficacy, Table 2) report significant increases in the FFMQ describe and observe facets. Empathy scores rose slightly, but the Results and Discussion explicitly state that the effect on empathy was not statistically significant, so the claimed positive impact on empathy overstates the finding. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIn Danilewitz et al., there were no statistically significant changes in MBI burnout subscales (Personal Achievement p=0.55, Emotional Exhaustion p=0.51, Depersonalisation p=0.71).
“Results from the Danilewitz et al. study [23] demonstrated no statistically significant changes in the MBI’s burnout subscales, including Personal Achievement (p=0.55), Emotional Exhaustion (p=0.51) and Depersonalisation (0.71).”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The Results (Preliminary efficacy, Table 2) report no statistically significant changes in the three MBI subscales. The cited p-values match for Personal Achievement (.55) and Depersonalization (.71), but Emotional Exhaustion is reported as .051, not .51. (LLM, conf=0.93)
Experimental — accuracy not yet measuredData was incomplete: 55.32% in Moore et al. and 13.46% in Danilewitz et al. did not complete the studies.
“furthermore, data was incomplete as the rate of the student who did not complete the studies were 55.32% in the Moore et al. study [1] , and 13.46% Danilewitz et al. [23].”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The Results (Preliminary efficacy; page unavailable) confirm incomplete follow-up data: 37 of 52 enrolled students completed post-intervention assessments, so 15 of 52 (28.8%) did not. The Results (Feasibility; page unavailable) say 45 of 52 started the program; 13.46% corresponds to the seven who did not start, not the proportion who failed to complete the study. This verdict concerns only the Danilewitz et al. figure, not Moore et al. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn Danilewitz et al., the intervention had a statistically significant impact on the "observe" facet of the Five Facet Mindfulness Questionnaire, with estimated marginal mean increasing from 12.0 ± 0.5 to 15.1 ± 0.5 (p<0.001).
“The estimated marginal mean for this facet increased from 12.0 ± 0.5 to 15.1 ± 0.5 (p<0.001).”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The Results (Preliminary efficacy, Table 2) report a significant increase in the FFMQ observe facet, but the pre-intervention estimated marginal mean is 12.9 ± 0.5, not 12.0 ± 0.5. The post-intervention value is 15.1 ± 0.5, and the Results text reports p<.001. (LLM, conf=0.94)
Experimental — accuracy not yet measuredDanilewitz et al. was a pilot study with intervention duration varying from seven weeks to four months.
“The mindfulness intervention utilised in Danilewitz et al.’s pilot study was entirely dependent on the time taken by the participant to complete the seven modules [23]. Overall, the intervention duration time varied from seven weeks to four months [23].”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The search identified six citations, three of which were duplicates, and two articles were kept for analysis.
“In total, six articles were identified, three of which were duplicates. Of the three unique articles, none were excluded based on the content of their abstracts. The inclusion criteria were applied to the three articles after their full text was read, and two articles were kept for analysis [1, 23]”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
Despite high module completion rates for the MIND-MED program, consistent daily practice of meditation mindfulness techniques remained low.
“For example, despite high module completion rates for the MIND-MED program, consistent daily practice of meditation mindfulness techniques remained low.”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
In Danilewitz et al., there was no significant change in JSE-S scores (p=0.06).
“There was also no significant change in JSE-S scores (p=0.06).”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
In Danilewitz et al., self-compassion ratings significantly increased from 35.0 ±1.2 to 39.3 ±1.3 (p=0.001).
“Additionally, the estimated marginal mean ratings for self-compassion had a statistically significant increase from 35.0 ±1.2 to 39.3 ±1.3 (p=0.001).”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
In Danilewitz et al., the intervention had a statistically significant impact on the "describe" facet of the Five Facet Mindfulness Questionnaire, with estimated marginal mean increasing from 16.7 ± 0.5 to 18.4 ± 0.6 (p<0.001).
“The estimated marginal mean for this facet increased from 16.7 ± 0.5 to 18.4 ± 0.6 (p<0.001).”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
In Danilewitz et al., at four-month follow-up, 32% practiced at least once weekly, and 89% practiced for 10 minutes or less per session.
“At the four-month follow-up, 32% of the participants practiced at least once weekly; however, 89% practiced for 10 minutes or less per session [23].”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The Results > Feasibility section reports mean meditation minutes per module, but not the percentages practicing weekly or for 10 minutes or less per session. The Methods > Mindfulness Intervention section says the intervention lasted up to four months; it does not describe a four-month follow-up. Searches for 32%, 89%, and the stated practice frequencies found no matching results in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredIn Danilewitz et al., at least half the participants practiced mindfulness three days or more per week in the first three weeks, then practice dropped; about half practiced around 30 minutes per week by week 8.
“In the Danilewitz et al. study, at least half the participants practiced mindfulness three days or more per week in the first three weeks of the intervention, and then their practice dropped. About half of the students were practicing for around 30 minutes per week by week 8.”
From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]
The Results > Feasibility passage reports average meditation minutes per module, and the Discussion describes regular daily practice as low. Neither gives practice frequency in the first three weeks, a subsequent decline, or the proportion practicing about 30 minutes per week at week 8. Searches for those time points and figures found no matching passage; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measured
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Java, S., Jaffar, B. A., Bhardwaj, A. B., & Prabhakar, S. (2021) · 2021 International Conference on Computational Intelligence and Knowledge Economy (ICCIKE) · doi:10.1109/iccike51210.2021.9410752 · Cited by 1 · see citing works
Garg, R., & James, K. S. (2025) · Journal of international oral health · doi:10.4103/jioh.jioh_139_24 · Cited by 3 · see citing works
Horvath, A. J., Shegufta, F. A., Chairilsyah, M. R., Wikanta, K. G., Waidyatillake, N. T., & Reid, K. (2026) · BMC Medical Education · doi:10.1186/s12909-025-08460-5 · Cited by 4 · see citing works
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Mindfulness in Undergraduate Medical Education: Where We Are Now and Where We Go Next
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Meditation Program for First Year Medical Undergraduate Students: A Feasibility Study
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ASPECTOS PSICOSSOCIAIS DOS ESTUDANTES DE MEDICINA: UMA REVISÃO NARRATIVA
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Processos de Desenvolvimento e Aprendizagem: práticas e pesquisas
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Mindfulness in the Medical Learning Environment: An Opportunity for the Struggling Learner?
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Harnessing the Neurobiology of Empathy and Compassion to Alleviate Burnout in Neurology
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Development and Evaluation of Relaxing Virtual Reality Environments for Children: Pilot Study
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How can we teach empathy to medical students? A scoping review
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- Authors
- Danilewitz, M., Koszycki, D., Maclean, H., Sanchez-Campos, M., Gonsalves, C., Archibald, D., & Bradwejn, J.
- Affiliations
- University of British Columbia (CA)
- University of Ottawa (CA)
- ORCID
- Venue
- Canadian Medical Education Journal
- Published
- 2018-11-13
- Volume
- 9
- Issue
- 4
- Pages
- e15-25
- ISSN
- 1923-1202 (ISSN-L)
- PMC
- PMC6260511
- OpenAlex
- W2905840810
- Cited by
- 50
- References
- 41
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 13 · 2023: 12 · 2022: 12 · 2021: 6 · 2020: 1
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Canadian Medical Education Journal (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- mindfulness meditation, online intervention, medical students, student well-being, psychological distress, burnout, empathy, self-compassion, feasibility, medical education
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